Indian Journal of Private Psychiatry

Register      Login

VOLUME 16 , ISSUE 1 ( January-June, 2022 ) > List of Articles

Original Article

What does not Kill You Makes You Stronger: An Online Survey into Healthcare Providers’ Mental Health during Corona Pandemic

Amrita Chakraborti, Suvajit Pal

Keywords : COVID-19, Healthcare provider, Psychiatry morbidity, Serious mental illness

Citation Information : Chakraborti A, Pal S. What does not Kill You Makes You Stronger: An Online Survey into Healthcare Providers’ Mental Health during Corona Pandemic. Ind J Priv Psychiatry 2022; 16 (1):14-24.

DOI: 10.5005/jp-journals-10067-0095

License: CC BY-NC 4.0

Published Online: 16-03-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Context: Novel corona virus poses a profound and interminable threat to humanity. Healthcare providers (HCPs)’ assigned responsibility to combat the disease from frontline put them in mortal danger takes a toll on their mental health. Aim and objective: To identify HCP's unmet mental health needs. Settings and design: A cross-sectional, online mental health survey was conducted during Unlock 1.0, June, 2020, among doctors and nursing staffs working in a South Bengal health district. Materials and methods: Tools used were an online semistructured questionnaire, Depression, Anxiety and Stress Scale—21 Items, Insomnia Severity Index, and Brief Resilience Scale. Statistical analysis: Descriptive statistics, Chi-square, independent t-test, ANOVA, and Pearson and Spearman's correlation were done by SPSS-16. Results: Among 78 respondents, 74% are doctors, 56% males, and 80% aged between 21 and 50 years, married, having children, living with family, and working in tertiary Govt institute. About 62% had preexisting medical comorbidities, 50% had clinical insomnia, 28% opted for a psychiatric evaluation, but only half of them actually volunteered. Mean score for insomnia, depression, anxiety, stress, and resilience was 7.82, 5.72, 7.64, 4.13, and 20.27, respectively. “Fear of getting infected and infecting others” dominated 33% HCP's concern regarding COVID-19. Presence of medical and mental comorbidity, place of living, exposure, household duty, and exercise made significant difference to insomnia, stress, anxiety, and depression (p <0.05). One-fourth of population reported increase in sleep and had significant association with stress and depression (p <0.05). Conclusions: High unmet mental health needs of HCPs are evident in increased burden of sleep dysfunction, medical morbidity, and reluctance to disclose about psychological issues. Clarification needed on reported hypersomnia and effect of lockdown activities on mental health.

  1. Biswas A, Bhattacharjee U, Chakrabarti AK, et al. Emergence of novel coronavirus and COVID-19: whether to stay or die out? Crit Rev Microbiol 2020;46(2):182–193. DOI: 10.1080/1040841X.2020.1739001.
  2. Shuja KH, Aqeel M, Jaffar A, et al. COVID-19 pandemic and impending global mental health implications. Psychiatr Danub 2020;32(1):32–35. DOI: 10.24869/psyd.2020.32.
  3. Harper CA, Satchell LP, Fido D, et al. Functional fear predicts public health compliance in the COVID-19 pandemic. Int J Ment Health Addict 2020:1–14. DOI: 10.1007/s11469-020-00281-5.
  4. Shi Y, Wang J, Yang Y, et al. Knowledge and attitudes of medical staff in Chinese psychiatric hospitals regarding COVID-19. Brain Behav Immun Health 2020;4:100064. DOI: 10.1016/j.bbih.2020.100064.
  5. Chatterjee SS, Bhattacharyya R, Bhattacharyya S, et al. Attitude, practice, behavior, and mental health impact of COVID-19 on doctors. Indian J Psychiatry 2020;62(3):257. DOI: 10.4103/psychiatry.IndianJPsychiatry_333_20.
  6. Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open 2020;3(3):e203976. 2020. DOI: 10.1001/jamanetworkopen.2020.3976.
  7. Xiao H, Zhang Y, Kong D, et al. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in January and February 2020 in China. Med Sci Monit 2020;26:e923549. DOI: 10.12659/MSM.923549.
  8. Mohindra R, Ravaki R, Suri V, et al. Issues relevant to mental health promotion in frontline health care providers managing quarantined/isolated COVID19 patients. Asian J Psychiatr 2020;51:102084. DOI: 10.1016/j.ajp.2020.102084.
  9. Wu PE, Styra R, Gold WL. Mitigating the psychological effects of COVID-19 on health care workers. CMAJ 2020;192(17):E459–E460. DOI: 10.1503/cmaj.200519.
  10. Zhou X, Snoswell CL, Harding LE, et al. The role of telehealth in reducing the mental health burden from COVID-19. Telemed J E Health 2020;26(4):377–379. DOI: 10.1089/tmj.2020.0068.
  11. Smith BW, Dalen J, Wiggins K, et al. The brief resilience scale: assessing the ability to bounce back. Int J Behav Med. 2008;15(3):194–200. DOI: 10.1080/10705500802222972.
  12. Udwadia ZF, Tripathi AR, Nanda VJ, et al. Prognostic factors for adverse outcomes in COVID-19 infection. J Assoc Physicians India 2020;68(7):62–66. PMID: 32602683.
  14. Zhang WR, Wang K, Yin L, et al. Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychother Psychosom 2020;89(4):242–250. DOI: 10.1159/000507639.
  15. Rajkumar RP. COVID-19 and mental health: a review of the existing literature. Asian J Psychiatr 2020;52:102066. DOI: 10.1016/j.ajp.2020.102066.
  16. Fu W, Wang C, Zou L, et al. Psychological health, sleep quality, and coping styles to stress facing the COVID-19 in Wuhan, China. Transl Psychiatry 2020;10(1):225. DOI: 10.1038/s41398-020-00913-3.
  17. Irwin M. Effects of sleep and sleep loss on immunity and cytokines. Brain Behav Immun 2002;16(5):503–512. DOI: 10.1016/s0889-1591(02)00003-x.
  18. Altena E, Baglioni C, Espie CA, et al. Dealing with sleep problems during home confinement due to the COVID-19 outbreak: practical recommendations from a task force of the European CBT-I Academy. J Sleep Res 2020;29(4):e13052. DOI: 10.1111/jsr.13052.
  19. Gupta R, Grover S, Basu A, et al. Changes in sleep pattern and sleep quality during COVID-19 lockdown. Indian J Psychiatry 2020;62(4):370–378. DOI: 10.4103/psychiatry.IndianJPsychiatry_523_20.
  20. Liu S, Yang L, Zhang C, et al. Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry 2020;7(4):e17–e18. DOI: 10.1016/S2215-0366(20)30077-8.
  21. Ong JJY, Bharatendu C, Goh Y, et al. Headaches associated with personal protective equipment – a cross-sectional study among frontline healthcare workers During COVID-19. Headache 2020;60(5):864–877. DOI: 10.1111/head.13811.
  22. Loibner M, Hagauer S, Schwantzer G, et al. Limiting factors for wearing personal protective equipment (PPE) in a health care environment evaluated in a randomised study. PLoS One 2019;14(1):e0210775. DOI: 10.1371/journal.pone.0210775.
  23. Madhav KC, Sherchand SP, Sherchan S. Association between screen time and depression among US adults. Prev Med Rep 2017;8:67–71. DOI: 10.1016/j.pmedr.2017.08.005.
  24. Starosta JA, Izydorczyk B. Understanding the phenomenon of Binge-watching – a systematic review. Int J Environ Res Public Health 2020;17(12):4469. DOI: 10.3390/ijerph17124469.
  25. Grover S, Sahoo S, Mehra A, et al. Psychological impact of COVID-19 lockdown: an online survey from India. Indian J Psychiatry 2020;62(4):354. DOI: 10.4103/psychiatry.IndianJPsychiatry_427_20.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.